HomeMy WebLinkAbout06-6192
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6192
6192
Permit Type: ACCESSORY BLDG.
Class of Work: SHED INSTALLATION
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 2,100.00
Date Issued: 11/01/2006
Total Fees: 52.50
Amount Paid: 52.50
Date Paid: 11/01/2006
Work Desc: INSTALL SHED
Address: 5050 17TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-21400-0301
Name: CONRAD,RORY
Address: 5050 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
~.
SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6192
6192
Permit Type: ACCESSORY BLDG.
Class of Work: SHED INSTALLATION
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 2,100.00
Date Issued:
Total Fees: 52.50
Amount Paid:
Date Paid:
Work Desc: INSTALL SHED
Address: 5050 17TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-21400-0301
Name: CONRAD, RORY
Address: 5050 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
~~
CONTRACTOR SIGNATURE . PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
.
Permit Application Review Comments
By: Bill Burgess
!(j~ 2. 5 ,0(, ~NO Comments
5iJ5o !7 ~ ~~T
d:/lS/df~il5Yt ~ :ski
Date:
Address:
Type:
-/Iol;}1 fJflJvJy\ e iL
813-780-0020
City of Zephyrhills Permit Application
Building Department
r-ax-o '''-/OU-UUL: I
Owner's Address
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
/:)- 7~.2. y)3
YIS . </re' 7?CC
Date Received
Owner's Name
Fee Simple Titleholder Address
JOB ADDRESS
5"()SO J"tlt ~lvd
LOT #
PARCEL ID#I
WORK PROPOSED
ADD/ALT
REPAIR
COMM
FRAME
//- Z'-2J(}o/O-2/C/-06- ()361
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLISH
SUBDIVISION
~
PROPOSED USE 0
TYPE OF CONSTRUCTION 0
DESCRIPTION OF WORK I MS-I-a..R.i
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1111,11......11111111...111111...1111.1.1.1111...,1111...1111...11...1111111...........1111....1111.11..111111111111"'1'111'1111111111""111111'
1$ ,:) /00
1$
1$
1$
c=J GAS 0
FINISHED FLOOR ELEVATIONS I
NEW CONSTR
INSTALL
SFR
BLOCK
o
p~
OTHER I
STEEL D
OTHER I
HEIGHT I
BUILDING SIZE
SQ FOOTAGE I
/01 C (I
D
c=J
c=J
c=J
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
ROOFING
D
I
SPECIALTY 0
FLOOD ZONE AREA
OTHER
DYES
DNO
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:~~~~~RE! ~l!L
Add~ss ~
ELECTRICIAN I
SIGNATURE
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE
Address I
OTHER I
SIGNATURE
Address I
5 z. .)D
-I~€OWIlf.JL
Y / N I FEE CURRENT
Y/N
COMPANY
REGISTERED
License #
COMPANY
REGISTERED
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
11111111111' 1111I11111111111111111111111111111111111111111111111111111111111111111111'" 1111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans wI Silt Fence Installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlslonsfiarge projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans wI Silt Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
111111111111111'11'1'11'111'1111"'1111111'111'11'111'111111'111111'111'111"'IIIIIIIII'llliillllllllllllill1IIIIillillllllllllllllllllltlllilllll
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from oWner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways"needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for complianc~ with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and 10<fc:11 regul~tions. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the oWner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. . . . .
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the constrUction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance humber 89-07 ahd
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): if valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards. of all laWs regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally SensitiVe
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheadsj Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "v" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida. .
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem Wall.
!f fill material is to be used in any area, I certify that use of such fill will hot adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit applicatioh, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if Work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCtNG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR
Subscribed and swom to (or amrmed) before me this
by
Who Isfare personally known to me or has/have produced
as Identification.
OWNER OR AGENT
Subscribed and swom to (or amrmed) before me this
by
Who Is/are personally known to me or haslhave produced
as identification.
Notary Public
Notary Public
Commission No.
Commission No.
r
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
I,
agree to
DISCLOSURE STATEMENT FOR OWNER
CI.TY OF ZEPHYRE[ILLS Bt7:ILDING DEPARTMENT
kY7CJ
t~ provisions of this instrument.
have read and fuJ.ly understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile,. that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work..
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding ~th the building.
5. That the owner shall assume full responsibi~ity for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice. to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or impr~vea
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building .or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within I year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
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ADDRESS Su.$ Or; / . 7'1' .slro::/- f .
PHONE '( / J 7 r.; ~ F):J2
WITNESS
PERMIT #
~ CITY OF ZEPHYRHILLS BUILDING DEPARTHENT
OWNER ~? ~~(. .
JOB LOG:ATION 6"050 / '1 Slreef
II - 2 ,,- 2- ( - 00 i () - 21 Q(7) .- 03 ()j
PARCEL I.D.' #
SIIOW ALL EXISTING & PROPOSED STRUcruRES GIVING DIHENSIONS & SETBACKS.
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UTILITY BUILDINGS
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FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
P E-
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FRONT PROPERTY LINE
FRONT PROPERTY LINE
STATE OF FLORIDA
o E PAR T MEN T 0 F C 0 ~\'~ ~A U NIT Y A F F A IRS
"Dedicated to making Florida a better place to calf home"
JEB BUSH
Governor
STEVEN M. SEIBERT
Secrelary
MEMORANDUM
FROM:
Building Officials, Manufacturers and Agencies
Ila Jones, Department of Community Affairs ~ \~
Requirement for Raised Seals for Manufactured Buildings/Sheds
TO:
RE:
DATE:
March 15,2002
The Florida Building Code does not require original signed and sealed plans be submitted tathe
local building department to obtain a permit for installation or erection of a closed structure
manufactured in a manufacturing facility. The insignia issued by the State verifies the plans have
been reviewed and the buildings inspected for compliance by the State and dete.rr.ni.ned to comply
with applicable codes. ,~ , "'" ~
The State of Florida maintains a set of sealed plans reviewed and approved by a F]orida licensed
Modu]ar Plans Reviewer and inspection reports conducted at the manufacturing facility by
F]orida licensed Modu]ar Inspectors. The manufacturer should supply a copy of the approved
plans with the permit application.
You may also review the approved plans by accessing the Florida Building Code Information
System website ate W\vw.fJoridabuilding.org), Manufactured Building Program.
Site-related installation requirements (foundation, etc.) are specifically and entirely reserved to
the local authority
If you need additional infomlatioIl, please do not hesitate to contact me at 850-922-6091 or
e-mail: ila.iones@dca.state.fl.us
2555 SHUMARD OAK BOULEVARD. TALLAHASSEE, FLORIDA 32399-2100
Pf,ooe: 850.488.8466/Suncorr> 278 8466 FAX: 850.921.0781/Suncom 291.0781
Inlernet dddress: hllp:llwww.dca.slale.fl uS
CRITICAL STAlE CONCERN fIELD OFflCf
-"".' lj\-Cf5e.JS Highway, SuilC? 21,
l\,.,r31hon. Fl 33050-2217
t30Si 289.]401
COMMUNJlY PLANNJNG
2S55 Shumard Oak &oulevard
lallai\d:.s<e. Fl 32399-21(Y)
(850) 488-235&
EMERG~NCY MANo\CEMENT
75':)5 Shumard Oak Boulevard
Tallahassee. H 3::;399.]100
(850) 413.'.:J?'69
HOUSING & COMMUNITY DEVElOPM!N1
2S5S Shumard Oak Boulevard
Ta/Jaha~.~ee. fl J]399-~lo...!
1850) 488.;'9>6
STATE OF FLORIDA
DEPARTMENT OF COMMUNITY AFFAIRS
"Dedicated to making F/orida a better place to call home"
JEB BUSH
Govemor
THADDEUS L. COHEN, AlA
Secretary
Certification Number: MFT-114
Manufacturer: Lark Builders, Inc.
Address: P. O. Box 629
Vidalia, GA, 30475
Expiration:
December 16, 2007
Certified for Manufacturing: Storage Sheds
This will confirm that Lark Builders, Inc. is certified to manufacture manufactured
(modular) buildings, as defined by Rule Chapter 9B-1, F AC, and Chapter 553, Part I"FS,
for location or sale in the State of Florida. The condition ofthis certification is limited to
authorization specified in the above references. Each building shall bear a State Insignia
located on the electrical panel box cover.
This certification renewal shall be for a period of three years, as indicated above. The
manufacturer will receive a renewal notice by E-mail, generated by the Building Code
Information System (BCIS) 90 days prior to expiration of this notice. The manufacturer
must submit the information required in s. 553.381 F.S. and Rule Chapter 9B-1.007 FAC
online at www.floridabuilding.org. '
If you have questions regarding licensing requirements for site-related permits for
installation of manufactured buildings, you may contact us, your local building
department or the Department of Business and Profession Regulations at (850) 487-1395.
Sincerely,
b6~
Michael D. Ashworth
Program Manager
Manufactured Buildings Program
Building Codes & Standards
Phone: 850-922-6075
FAX: 850-414-8436
cc:NDI
2 5 5 5 S HUM A R D 0 A K B 0 U LEV A RD. TAL L A HAS SEE, F LOR I D A 3 2 3 9 9 -2 1 0 0
Phone: 850.488.8466/Suncom 278.8466 FAX: 850.921.0781/Suncom 291.0781
Internet address: http://www.dca.slale.fl.us
CRITICAL STATE CONCERN FIELD OFFICE
2796 Overseas Highway, Suite 212
Marathon, FL 33050-2227
(305) 289-2402
COMMUNITY PLANNING
2555 Shumard Oak Boulevard
Tallahassee, FL 32399-21()()
(850) 488-2356
EMERGENCY MANAGEMENT
2555 Shumard. Oak Boulevard
Tallahassee, Fl 32399-2100
1850) 413-9969
HOUSING & COMMUNITY DEVELOPMENT
2555 Shumard Oak Boulevard
Tallahassee. FL 32399-2100
(850) 488-7956